Questionnaire Text

Questionnaire form view entire document:  text  image
2. How is this person related to Person 1?

Mark (X) one box.

[] Opposite-sex husband/wife/spouse
[] Opposite-sex unmarried partner
[] Same-sex husband/wife/spouse
[] Same-sex unmarried partner
[] Biological son or daughter
[] Adopted son or daughter
[] Stepson or stepdaughter
[] Brother or sister
[] Father or mother
[] Grandchild
[] Parent-in-law
[] Son-in-law or daughter-in-law
[] Other relative
[] Roommate or housemate
[] Foster child
[] Other nonrelative
Questionnaire instructions view entire document:  text  image
Person questions 1-6

Answer questions 1-6 for the first five people living or staying at this address.

  • Include everyone who is living or staying here for more than 2 months.
  • Include yourself if you are living here for more than 2 months.
  • Include anyone else staying here who does not have another place to stay, even if they are here for 2 months or less.
  • Do not include anyone who is living somewhere else for more than 2 months, such as a college student living away or someone in the Armed Forces on deployment.

P2. If the person is in an intimate relationship with Person 1, such as a boyfriend or girlfriend, mark the ''opposite-sex unmarried partner'' or ''same-sex unmarried partner'' box.

An ''other relative'' is someone related to Person 1 by birth, marriage, or adoption, but "not" one of the options listed -- for example, a niece or nephew. If a foster child is related to Person 1, include in the appropriate relative category, such as ''grandchild,'' or include in the ''other relative'' category.

A ''foster child'' is someone under the age of 21 who is involved in the formal foster care system.

If the person is not related to Person 1 and is not one of the options listed, mark the "other nonrelative" box.